Individual
WHITNEY MICHELLE IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
803 OAK ST, GREEN COVE SPRINGS, FL 32043-4317
(904) 284-5568
Mailing address
9149 HAWKEYE DR, JACKSONVILLE, FL 32221-3601
(904) 885-3917
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 14300
FL
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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